ANTHONY EDWARD BOUTT

SOUTHFIELD, MI
NPI1710981071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MI  4301030028)
Enumeration Date2005-06-02
Last Update Date2011-12-19
Business Address
-- ANTHONY EDWARD BOUTT MD
22250 PROVIDENCE DR 408
SOUTHFIELD, MI 48075-4825
Phone number: 248-465-4470
Mailing Address
-- ANTHONY EDWARD BOUTT MD
15990 W 9 MILE RD
SOUTHFIELD, MI 48075-4826
Phone number: 248-849-4226
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